Active NPI
Jacob M. Levine, M.D.
- Internal Medicine Physician
- Pikesville, MD
National Provider Identifier
1396784245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0048189
- Practice address
- 1838 Greene Tree Rd Ste 225B
Pikesville, MD 21208-7115 - Phone
- (443) 471-3270
- Fax
- (410) 584-1875
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0048189 | MD | Primary |
Addresses
Primary practice location
1838 Greene Tree Rd Ste 225B
Pikesville, MD 21208-7115
Mailing address
515 Fairmount Ave Ste 400
Towson, MD 21286-8518
Phone (443) 471-3270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030301100 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacob.levine.p2@direct.clinicalassociates.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.85 of 100
- Quality
- 80.72
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 76.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0048189 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Clinical Associates P a | Past | Accepting new patients | |
| Integrace Health Inc | Past | Accepting new patients | |
| Cedar Ridge Counseling Centers LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eldersburg, MD
- NPI 1932103926
-
- Ambulatory Surgical Clinic/Center
- Towson, MD
- NPI 1982074001
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Geriatric Medicine (Internal Medicine) Physician
- Sykesville, MD
- NPI 1548284086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1396784245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 FAIRMOUNT AVE STE 400",
"city": "TOWSON",
"state": "MD",
"postal_code": "212868518",
"telephone_number": "443-471-3270",
"fax_number": "410-584-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD STE 225B",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087115",
"telephone_number": "443-471-3270",
"fax_number": "410-584-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "JACOB",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0048189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030301100",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jacob.levine.p2@direct.clinicalassociates.nextgenshare.com",
"affiliation": "N",
"address_1": "1838 Greene Tree Rd Ste 225B",
"city": "Pikesville",
"state": "MD",
"country_code": "US",
"postal_code": "212087115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.